Developing strategies to end hunger
 

81 posts categorized "Weblogs"

Benefits of Addressing Neglected Tropical Diseases and Malnutrition in Tandem

(Blog was originally submitted to the Sabin Vaccine Institute and the Global Network for Neglected Tropical Diseases in support of their policy brief Toward a Healthy Future: Working Together to End Neglected Tropical Diseases and Malnutrition, endorsed by 22 global health organizations)

Nutrition is a foundational element in human development, and a growing body of evidence shows that it is a vital link across international development sectors. Although nutrition was once solely the domain of public health professionals, development assistance practitioners in agriculture, education, gender, and water/sanitation/hygiene (WASH) are realizing that their successful project outcomes can have a direct and positive effect on nutrition.

Does a value-chain project in horticulture or livestock production improve nutrition? What about efforts to keep girls in school an extra year or two before they assume family and village responsibilities? Does improved hand-washing and food preparation hygiene improve nutrition?  The answer to all these questions is a resounding yes!

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WASH activities are nutrition-sensitive! Photo credit: Sabin Vaccine Institute

The number of people in the world affected by at least one of the 17 NTDs listed by WHO is approaching 1.5 billion, and we know now that NTDs can damage a person’s nutritional status at any point in life. Worse, contracting an NTD can cause infection and other problems that cancel out or even reverse efforts to improve nutrition.

As nutrition started to be at the core of development assistance across sectors, it was clear that a comprehensive strategy to coordinate efforts was necessary. In May 2014, USAID announced its Nutrition Strategy. Bread for the World Institute participated in its development, along with other members of the nutrition stakeholder community (advocacy and operational partners of USAID).

The nutrition strategy recognizes the essential role of nutrition in human development (especially during the “1,000 Days” period from pregnancy to age 2). Moreover, the strategy acknowledges that high rates of chronic malnutrition can cause significant losses in a nation’s GDP and impose other economic costs. The USAID strategy also lays the foundation for the development of a comprehensive Global Nutrition Coordination Plan among all U.S. government offices.

The strategy treats nutrition as “multi-sectoral”-- meaning that effective nutrition interventions can be made not only in health programming, but also in agriculture, education, and WASH projects. The most important direct nutrition interventions include 11 “essential nutrition actions” articulated by the World Health Organization and identified as particularly effective in fighting malnutrition in the research published in the Lancet Maternal and Child Nutrition series. Indirect nutrition actions are nutrition-sensitive activities that target the underlying causes of undernutrition, and direct interventions can be complemented by indirect nutrition actions for maximum impact. In fact, combining direct and indirect actions by “bundling” projects that include both has been found to be the most effective development investment a country can make.

USAID is committed to the World Health Assembly 2025 Nutrition Targets and is developing additional nutrition targets it will use to track and evaluate its development assistance. Included in these is a target in Feed the Future of reducing stunting  by 20 percent in five years in regions where this initiative has programs.

Companion legislative bills have been introduced in the Senate and the House that would authorize Feed the Future as the government’s primary program for global food and nutrition security. Despite recent improvements reported by FAO, there are still 805 million chronically undernourished people in the world. With legislation, we can solidify U.S. leadership in fighting hunger and malnutrition, build and improve upon vital work that has been done, and leverage a government approach across all sectors and programs to meet specific goals for progress against global hunger and malnutrition.

Scott Bleggi

Long-Term Solutions to the Child Migration Crisis

Mother & Child Nutrition

Photo by Joseph Molieri/Bread for the World

The child migration surge is out of the headlines and the number of children reaching the U.S. border has decreased dramatically, but the three nations of Central America’s Northern Triangle continue to grapple with violence and poverty. It may be only a matter of time until history repeats itself, because the root causes of unauthorized migration for both children and adults remain unchanged.

At the height of the crisis, Congress granted U.S. government agencies such as the Department of Homeland Security’s Customs and Border Patrol and the Department of Health and Human Services’ Office of Refugee Resettlement increased flexibility in spending previously allocated funds to respond to the crisis. So far, however, Congress has not approved Obama administration requests for additional funding, either for services at the border or for development assistance in the child migrants’ home countries of Honduras, Guatemala, and El Salvador.

Some congressional policy makers continue to seek long-term legislative solutions to the poverty and violence driving migration through increased and more effective U.S. foreign development assistance to the region. Bread for the World supports integrating migration issues into U.S. development assistance, including targeting programs to high-propensity migration regions in Central America and other regions that are sources of many immigrants.

In addition to congressional efforts to build momentum for a comprehensive solution to the root causes of migration from Central America, country-led solutions to reduce insecurity and poverty in the region are emerging. Multilateral organizations such as the Inter-American Development Bank are also involved in these discussions.

One of the plans emerging is the "Plan of the Alliance for Prosperity in the Northern Triangle." This plan was announced in late September 2014 by Secretary of State John Kerry and the foreign ministers of Guatemala, Honduras, and El Salvador during the UN General Assembly meeting in New York. It includes a plan by Central American governments to boost economic growth in the region and reduce unauthorized immigration to the United States.

So far few details of the plan have been made public, but the focus on the “root causes” in migrants’ nations of origin is a promising first step -- both in responding to the poverty and violence that drive child and adult unauthorized migrants from Central America to the United States and in engaging all countries involved in doing their part. It will take the engagement of both the United States and Central American nations to help solve the socioeconomic problems driving immigrants north.  Andrew Wainer

Children’s Mortality Cut By Half

A new report, issued by UNICEF along with other U.N. agencies and the World Bank, highlights a dramatic decrease in child mortality. Since 1990, the number of children under age 5 who die each year has been cut in half: from 12.7 million then to 6.3 million now. This is a remarkable achievement that amounts to saving 17,000 lives every day.

Looking at it another way, the rate of decline in child mortality is falling three times faster than previously projected. As a result, 100 million children are alive who would have died if the death rate had remained at 1990 levels—including 24 million newborns that would not have made it more than a few weeks.

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Girls playing in Angola, which still has the world’s highest rate of under-5 mortality. Young children there are 25 times more likely to die than those born in the United States.  © UNICEF/NYHQ2007-1773/Nesbitt

The report, Committing to Child Survival: A Promise Renewed, says that the child deaths over the past 20 years were largely preventable. There were large geographical disparities: where a child was born made a big difference as to whether he or she survived.

Together, sub-Saharan Africa and South Asia were the homes of 80 percent of those who died. In sub-Saharan Africa, one in every 11 children die before their fifth birthday. That is 15 times the death rate in high-income countries, where an average of one in 159 children don’t reach their fifth birthday.

Moving forward, the most important area in which to focus health and nutrition interventions is the first month of a child’s life, which is called the neonatal period. Two million infants die within a week of birth. Some effective and low-cost interventions for both mothers and children are available. These could make a big difference, but sometimes this needs to be communicated to pregnant women, their husbands, their families, and their communities. For example, breastfeeding within an hour of birth reduces the risk of neonatal death by 44 percent—but less than half of newborns around the world have that opportunity.

The “Promise Renewed” of the report title has two goals. The first is to keep the promises of Millennium Development Goal (MDG) 4 — to reduce the under-5 mortality rate by two-thirds between 1990 and 2015, and MDG 5 – to reduce maternal mortality by three-fourths in this time period.  The second goal is to keep moving forward, beyond 2015, until no child or mother dies from preventable causes. In 2012, nearly 180 governments pledged to scale up efforts and speed up the decline in preventable maternal, newborn, and child deaths.

The Institute has written extensively about the MDGs, most recently in a blog about another recent report, the 2014 State of Food Insecurity in the World,  whichconfirms that the goal of halving hunger that is part of MDG 1 is within reach. What’s clear in both reports is that despite recent successes, a concerted effort focused on MDG goals and targets must be sustained. Further country-led development efforts in nutrition, health, and agriculture are key to achieving the goals.

The U.S. contribution to the MDGs is largely made through two USAID programs, the Global Health Initiative (GHI) and Feed the Future (FtF).  Congress has enacted legislation on the President’s Emergency Plan for AIDS Relief, PEPFAR (part of GHI), through which nutrition funding is authorized. FtF currently lacks formal authorization through legislation, but both the House of Representatives and the Senate are considering versions of the Global Food Security Act, which will make FtF part of U.S. law.

U.S. efforts in international agricultural development and nutrition largely focus on the 1,000 Days, the “window of opportunity” between a woman’s pregnancy and her child’s second birthday.  Leading economists agree that development assistance investments here yield a very high rate of return. More importantly, these investments save mothers’ and children’s lives.

Scott Bleggi

 

Three Charts, Three Important Stats from New Poverty Numbers

Yesterday, the Census Bureau released its most recent data on U.S. income, poverty, and health care for 2013. The data reflected the first drop in the nation’s poverty rate since 2006, from 15 percent in 2012 to 14.5 percent in 2013. The poverty rate among children fell more significantly, from 21.8 percent to 19.9 percent—its first decline since 2000. Thanks to job market growth, 2.8 million more people had full-time, year-round employment in 2013 than in 2012, enabling them to better support their families in 2013.

Beyond the topline national poverty rates for various groups, the data can tell us a great deal more.  Here are three graphics that help explain where the limited growth from the economic recovery is focused, which groups are noticing gains, and which groups still aren’t.

1. Poverty Falls for Every Major Racial/Ethnic Group for First Time Since 2006

Poverty Rates at Recession High, 2012, and 2013 by Race and Ethnicity

2013 was the first year since 2006 that the poverty rate fell across the racial/ethnic board. While the drop was not statistically significant for all groups except Hispanics, this is important news because it signals that the gains from economic growth are finally beginning to be felt by all—a sign of a more sustainable and equitably shared recovery. It should not have taken this long for this to happen, and we can make statistically significant advances against poverty across all groups if Congress and the President make decisive investments in human capital development, job creation, and better wages.

2. Top 10 Percent Gains, Everyone Else Loses

Percent Change in Real Income, 2010-2013, by Income Percentiles

This graphic helps us appreciate even the small poverty rate decline reported for 2013, because in reality, the vast majority of the working population earned less real income that year than they did after the Great Recession. Almost all of the benefits of economic growth since the recession have been captured by those who need them least—the top 10 percent of income earners. This is part of a much greater income inequality story, in motion since the 1970s. Without a robust policy response from our leaders, we will remain on the track of prosperity for a few, not for all. 

3. The Gender Gap Continues to Slowly Narrow

Amount Earned by Women for Every Dollar Earned by Men, 1960-2013

Women’s earnings relative to men’s grew by another percentage point in 2013, advancing the long, slow march to wage equality another step. Women now earn 78 cents for every dollar earned by men, up from 77 cents in 2012. The gender wage gap has been closing since women started to enter the workforce at an increasing rate in the 1960s. While differences in education and training account for some of the wage gap, much more is due to gender discrimination.

Most of the numbers released yesterday showed nominal improvements for America’s working class and those facing poverty and hunger in 2013, but we should be encouraged by them. We know that with the right steps we can make dramatic progress toward not only reducing, but ending hunger and poverty in the United States by 2030. But 2013 was a dismal year for Congressional action on any of those steps. If anything, inaction through the sequester, the government shutdown and persistent austerity proposals threatened to reverse progress that year.   

If we can sustain economic growth and poverty reduction even through complete Congressional inaction, imagine where we could be if our policy makers were to get serious about ending hunger and poverty.

Read more about the steps Congress and the president must take to end hunger in the 2014 Hunger Report, Ending Hunger in America. Derek Schwabe

Too Many SDGs?

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Vuk Jeremić, President of the sixty-seventh session of the General Assembly, opens the first session of the Open Working Group on Sustainable Development Goals (SDGs). Photo source: UN Multimedia.

Late last month, the U.N. General Assembly’s Open Working Group on Sustainable Development Goals (SDGs) submitted its proposal for a set of goals to succeed the Millennium Development Goals (MDGs) when their deadline, December 2015, passes.

The SDGs, to be presented for approval at the U.N. General Assembly meeting in September, are an effort to accelerate and intensify the gains in human development that the MDGs began. The MDGs galvanized remarkable global political commitment from rich and poor countries alike – and this is why they inspired significant progress against poverty and hunger.

The eight MDGs are concise and easy to remember – e.g., cut the rate of extreme poverty in half, reduce maternal mortality by three-fourths. They have proven to be easy to explain to the public and to adapt to the circumstances of individual countries.  At this writing, there are 17 proposed SDGs – which run the risk of losing the simplicity that made their predecessors so popular and effective.  It may sound simplistic, but it is also accurate:  in order to spur lasting improvements, the SDGs must be marketable.

One of the most significant critiques of the MDGs has been the non-inclusive way in which they were formulated. The voices of developing country leaders, civil society, and low-income people themselves were largely absent from the MDG discussion. This is something that the UN has worked very hard to remedy this time around. A list of 17 proposed SDGs is a good sign— many more people have contributed their thoughts, making it more likely that the SDGs will avoid the blind spots of the MDGs.

Stronger global partnerships based on mutual respect are also a major theme of the Africa Leaders Summit, taking place this week in Washington, DC. The emphasis on trade in this first-ever event reflects the evolving view of U.S.-Africa relations – and U.S. relations with all developing regions – as focused on shared goals that are nonetheless country-owned. Thus, each country will pursue goals such as ending hunger by 2030 according to its own national circumstances and priorities. If well-packaged and well-presented, the SDGs will undergird this partnership model.

Keeping the list of SDGs wieldy is essential, however. Early research in the psychology of memory found that generally, human beings do not retain lists of more than seven or eight meaningful concepts at once. The results of a more recent study by psychologists at the University of Missouri, Columbia indicated an even smaller list, placing the optimal number of distinct ideas that a young adult can store in short-term “working memory” at three to five. Conventional wisdom, from speeches and sermons to advertisements, affirms this finding.  Three-point speeches are the norm, and you will never see a commercial that tries to sell you on 17 concepts at once.

Like many other stakeholders, we at Bread for the World Institute have made our case for why the issues most important to us—a goal to end hunger and a nutrition target—should be represented in the SDGs. And there are many other critically important concerns. But there are only so many seats on the plane. What’s most important in the end is that the plane is light enough to take off. If people can’t grasp the goals easily, they will have a much harder time getting behind them.

The General Assembly should explore practical ways to preserve the breadth of the proposed SDGs while making them as accessible as possible. Grouping is one possibility:  the 17 goals could be sorted into four or five descriptive categories that are easier to name and summarize.

Communicating complex ideas without oversimplifying or alienating your audience is about striking a delicate balance. The potential impact of the SDGs hangs in that balance.       Derek Schwabe

The 10-Year Outlook for International Food Security

Blog 072314The U.S. Department of Agriculture’s Economic Research Service (ERS) recently issued a report that projects the food security of 76 low- and middle-income countries for the years 2014-2024. The assessment was based on two main factors: capacity to produce food, and capacity to import.

The report is a follow-up to ERS’ first report that made 10-year food security projections, which covered 2013-2023 and was based on the same factors.

The ability to produce food domestically is, of course, especially important in the parts of Asia and Africa that rely most heavily on local agriculture. The ability to pay for food imports is a much more significant factor in Latin America, the Caribbean, and North Africa, where countries import a large proportion of the food they need. ERS weighed both factors in order to project the number of people in each country or region who will be food-insecure.

Over the short term, ERS believes that the overall situation in the 76 countries will improve. The share of the population that is food-insecure fell 1.6 percent during the year 2013 to 2014. This is expected to translate into a 9 percent drop in the overall numbers of hungry people, from 539 million in 2013 to 490 million in 2014 (for the 76 countries in the report).

However, over the decade 2014-2024, ERS projects that the number of people who are food-insecure will increase. This is because the share of the population that is food-insecure is expected to grow from 13.9 percent now to 14.6 percent in 2024. As might be expected, the main reason that ERS identified is that the food supply – what can be produced domestically plus what a country can afford to import – is expected to grow slowly, while demand for food is already strong and will grow more quickly.  

What does the report mean for global hunger? The ERS says that short-term improvements in improving food security in these countries, while positive, will not be sustained in the long-term due to population growth, weak country infrastructure and other factors. Improving production capacities of small-holder farmers, most often women, is essential.  Giving women farmers improved access to land, seed, fertilizer and markets in these countries is an important key to this, and will help build the foundation to a future where food insecurity and hunger are a thing of the past.

Scott Bleggi

 

A Shameful Anniversary: Five Years, No Minimum Wage Increase

The Minimum Wage Leaves Families in Poverty
This Thursday is the five-year anniversary of the last time Congress raised the federal minimum wage. Despite growing worker productivity and ever-rising living costs, the minimum wage has been immobile at $7.25 an hour since July 2009. If the minimum wage had kept up with U.S. productivity growth since 1950, it would be $18.67 today.

Minimum wage workers and their families know that $7.25 an hour means life is little more than a daily struggle just to survive. A full-time, year-round minimum wage worker earns only $15,080 annually. This is well below the poverty line for a family of four ($23,850 in 2014), and only a fraction of what an American family of four actually needs to support even a modest standard of living (see the graphic above). Monthly costs for family of 4 in Topeka, Kansas

It’s simply not possible for one or even two adults working full-time for minimum wage to provide for their families’ basic needs. The graphic to the right provides a breakdown of what the Economic Policy Institute has calculated a worker living in a part of the country with average living costs (Topeka, Kansas in this example) needs to sustain a secure living for a family of four. 

In 2012, 10 million full-time workers in our country were paid poverty-level wages -- 28 percent of all full-time workers. Low-wage workers and their families are, by and large, the face of American poverty. If these 10 million workers had earned enough to put them over the poverty line – that is, the $23,850 figure, not the $63,364 to meet basic needs – there would have been 58 percent fewer families living in poverty.

Every American who works 40 hours each week should earn enough to keep her or his family out of poverty. There have been times in U.S. history when that principle was upheld. This week’s anniversary is nothing to celebrate. Instead, it reminds us once again that the time to resume honoring our country’s values of fairness and the work ethic is long ov
erdue.

Some Americans are raising awareness for the five-year anniversary by taking the Live the Wage Challenge--attempting to live on a minimum wage income for just one week. After housing costs and taxes, that's just $77 per week. You can read stories and find instructions for how to take the challenge at livethewage.com

Read the 2014 Hunger Report to learn more about the key role of the minimum wage in ending hunger in America. Also, check out Todd Post’s reflection on minimum wage myths and realities. Derek Schwabe

For Families in Central America, Heartbreaking Decisions

Percent Change in Unaccompanied minors
Why are so many more unaccompanied children crossing the U.S. border with Mexico? Most (about 75 percent) of the new wave of minors are not actually from Mexico, but have made the long journey through Mexico from the Central American countries of Honduras, Guatemala, and El Salvador.

If the surge of child migrants were caused by softer U.S. policies -- or rumors of softer U.S. policies -- we would expect many to be from Mexico. After all, Mexico, which shares its long border with the United States, is the home country of the majority of undocumented immigrants here. But as we see in the above graphic, Mexico is not the source of the increase. In fact, the number of unaccompanied Mexican children has changed little, and even declined since 2009.

The primary causes are, instead, deep poverty and extreme levels of violence in Central America. The striking disparities between the haves and have-nots in Honduras, Guatemala, and El Salvador sustain high levels of hunger and malnutrition, particularly among young children, whose rates of stunting are soaring. At the same time, the three are the most violence-plagued nations in the hemisphere. Gangs often choose to recruit elementary school children; those who refuse to join are sometimes killed along with their entire families, and girls are frequently targeted for gang rape. This is why so many of those trying to cross the U.S. border are children and teenagers.

Honduras, El Salvador, Guatemala Lead the World in Murder Rates
As long as poverty, inequality, and weak governance persist – and often worsen – many families in these three countries face a dilemma no parent should have to face: keep their children home even though they can’t protect them, or send them on long, dangerous journeys in hopes that they will reach a safer place.

To resolve the crisis of the unaccompanied child migrants, border control is not enough. The root causes are at home. Thousands of desperate families have determined that fleeing, even with the risk of never reaching their destination, is the best option their children have. The United States can do a great deal to help alleviate poverty and enable Central American governments to protect their citizens. Read more about specific policy recommendations from the Institute’s senior immigration policy analyst, Andrew Wainer. Derek Schwabe

Hacking For Women's Empowerment: What We Accomplished

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This past Saturday, Bread for the World Institute, in partnership with the website, HelpMeViz, hosted the very first HelpMeViz Hunger Report Hackathon at Bread's Washington, DC office. The event brought together a diverse group of justice-minded statisticians, web developers, coders, designers, and data geeks who volunteered their time, skills, and creative energy to take on two  compelling data questions on global women’s empowerment and nutrition. The goal? To scour massive World Bank and UN datasets to find and visualize answers. We gave them four hours. They gave us a lot to think about. Here’s our storify-style recap of how the day went down:

Two Data Challenges—Two Dynamic Groups

Challenge 1:  There’s a lot of data missing on women’s empowerment. How do we tell that story visually?

Challenge 2: Stunting hurts one in four children around the world. When women are more empowered, do stunting rates drop?

Getting Started: Cleaning Data and Brainstorming Ideas

Both teams were thrown a number of very large datasets. Some were manageable and easy to understand—most were not. So the first step was to get to know the data, share some tips on where to start, and find ways to clean it up and make it easier to analyze. The close second step was to begin brainstorming ideas for how to use that data. 

Team 1: How Do You Visualize Nothing?

Team 1 had an atypical data challenge—not to tell a story about the data that we have, but to focus on what's missing. Thankfully, they were up to it. 

Team 2: Reaching Two Audiences

After cleaning their data, team two quickly began to find correlations between increased empowerment of women and lower stunting rates. But they wondered about the best way to tell the story. For advocates and academics, a data-heavy visualization would work, but probably not for policy makers. So the team decided to craft two ways of telling the same story: an infographic, and an interactive data app. They made good use of the sketch pads. 

Four Hours Later: Data—Visualized!

By the end of the hackathon, both teams, with some help from online participants, produced some impressive visualizations and prototypes that attacked the data challenges from all angles. Heat maps, small multiples, scatter plots, bar charts and some very artful designs all brought fresh insight to the nutrition and women’s empowerment policy discussion, and striking content ideas to the 2015 Hunger Report. Here are some of them:

Number of Missing Data Points, East Asia & Pacific

Missing Women DNA Photo

 Stunting rate vs. Rate of Population with Secondary Education or Higher

We Had a Lot of Thanking to Do

New Friends Made, New Projects Started

Next Steps

It’s clear to see that many stellar ideas were born in the three hours that our two teams had to work at this hackathon. The next step in some cases is simply to refine and polish. But in others it may be to continue building out the concept. We at Bread for the World Institute are eager to create opportunities for the teams to continue their work and to ultimately ready their visualizations for publication in the 2015 Hunger Report. We are now following up to decide on the best way to continue partnering with participants to carry on the work to that point. 

Derek Schwabe

Which Country Is Most Committed to Ending Hunger?

This time last year, I  blogged about the Hunger and Nutrition Commitment Index (HANCI), which combines a number of variables to come up with a ranking of how serious a country’s central government is about fighting hunger and malnutrition. We know that lack of political will is the only reason the world hasn’t ended hunger yet – so efforts like HANCI are important.

Government commitment was measured by indicators such as the creation and implementation of new policies and programs, the strength of existing programs, and whether the efforts are supported with sufficient funding. The first HANCI, last year, ranked Guatemala at the top because of its substantial “improvements in providing clean drinking water, ensuring improved sanitation, promoting complementary feeding practices, and investing in health interventions.” HANCI also noted that the Guatemalan government had launched a national campaign, the Zero Hunger Plan.

The second HANCI report, released this week, once again ranks Guatemala, along with Peru and Malawi, at the top. In these countries, governments, civil society organizations, and international partners are collaborating on programs that are making a difference to people’s health and well-being. It is no surprise that the three are also leaders in the Scaling Up Nutrition (SUN) movement, with active civil society networks that advocate for improved nutrition with their governments. SUN countries emphasize the “1,000 Days” window of opportunity on nutrition, which lasts from a woman’s pregnancy to her child’s second birthday.

HANCI 2

In this chart from the HANCI report, nutrition rankings are the Y axis (vertical) and hunger rankings are the X axis (horizontal). The closer a country is to (1,1), like Guatemala (GTM), the higher its score.

Learn more about Guatemala’s efforts by watching a recent PBS NewsHour segment, “Widespread childhood malnutrition is a paradox in agriculturally rich Guatemala".

 

The PBS broadcast features interviews with government leaders such as Luis Enrique Monterosso, head of the country’s hunger and malnutrition agency; leading private sector businesspeople on why they believe that ending malnutrition in Guatemala is imperative; and Save the Children-Guatemala, which implements programs funded by the U.S. Agency for International Development (USAID).

Early successes in Guatemala stem from the recognition that nutrition is important across development sectors; offices devoted to agriculture, health, education, and water, sanitation, and hygiene (WASH) are all working on nutrition issues. In health, direct nutrition interventions such as feeding malnourished infants are complemented by “nutrition-sensitive” actions in other areas – actions aimed at tackling the underlying causes of malnutrition. These programs together comprise “bundled interventions,” which experts at The Lancet medical journal, the Copenhagen Consensus, and IFPRI consider one of the best uses of development assistance. Bundled interventions fight malnutrition in cost-effective ways; in fact, the benefits they bring are worth many times their cost.

Scott Bleggi

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